# 223 FERDINAND PROFESSIONAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hoosier Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487451639
- **Authorized official:** ASHLEY FORSYTH (PAYOR RELATIONS LEADER)
- **Authorized official phone:** (812) 367-1639

## Contact information

- **Practice address:** 223 W 10TH ST, FERDINAND, IN 47532-9016
- **Practice address phone:** (812) 367-1639
- **Mailing address:** 223 W 10TH ST, FERDINAND, IN 47532-9016
- **Mailing address phone:** (812) 367-1639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2025
- **Last updated:** 02/26/2025